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Breast Procedures


Prior to the use of fiber-optic technology, breast augmentation (also called breast enlargement) was performed by making an incision under the breast (inframammary) or around the nipple (periareolar).

Dr. William R. Burden performed the first endoscopic, "No Scar on the Breast" augmentation in Northwest Florida. He had performed the first endoscopic breast augmentation at the University of Florida the previous year. Since then, he has performed more than 4,000 of these breast augmentation procedures in Destin, Florida, distinguishing him as one of the few plastic surgeons in the United States, as well as the world, to achieve this level of experience. Dr. Burden has published articles on his technique, has given international presentations, and is currently writing a text on the procedure. Dr. Ennis has spoken to international audiences of surgeons on the complexities and subtleties as well as the artistic elements of preforming the No Scar on the Breast technique as well as repairing complex revision surgeries in breast augmentation.

Dr. Burden and Dr. Ennis are keenly aware of the importance of minimal scars and are dedicated to a natural look. Models, celebrities, and other women desiring breast augmentation travel from around the world to undergo their minimally invasive, No Scar on the Breast enhancement.

For more information about this innovative incision method, request a consultationrequest a consultation online or call our office at (850) 654-1194. Located in Destin, Florida, we provide first-class breast augmentation services for patients from surrounding cities including Pensacola, Tallahassee, and Mobile, Alabama.


The No Scar on the Breast technique we use in Destin also places the breast implants in a "dual plane" position. In addition to leaving no scar on the breast, the dual plane positioning allows for better coverage of the implant and minimizes the capsular contracture rate. Although many surgeons have only recently been using this position, Dr. Burden and Dr. Ennis have a combined experience of well over 30 years utilizing this technique!

As adjunct study investigators, Dr. Burden and Dr. Ennis have had the opportunity to use their technique to place silicone implants many years before other surgeons. Their superior experience allowed them to analyze the breast and place silicone gel implants more precisely, with less trauma to the body - often in just 20 to 30 minutes. They have assembled a breast augmentation surgical team that is very experienced with this procedure and has maintained a 0% infection rate with this approach.

Dr. L. Scott Ennis joined Destin Plastic Surgery in 2003. Since that time, he has performed more than 5,000 of these procedures. Dr. Ennis also joined the adjunct study to gain experience with silicone implants. Both doctors have been very successful in building on the endoscopic techniques popularized by Dr. Burden in the 1990s and using their artistic backgrounds, have been able to perfect the subtleties of the placement of the silicone implant through the axillary approach.

Both Dr. Burden's and Dr. Ennis' precise breast analysis and implant selection can help you plan which implant is best suited to give you a more pleasing appearance. Their surgical skill can also allow for a much shorter operation time. Both frequently have patients travel from across the world to have breast augmentation performed.


In addition to the under-the-arm, transaxillary incision, there are 2 other incision sites commonly used for placement of an implant for breast augmentation:

  • Inframammary fold (IMF) incision, in the crease beneath the breast
  • Periareolar incision, beneath the areola

Many surgeons have a preference. The surgeons at Destin Plastic Surgery have significant experience with performing augmentations through each of these incisions.

Typically, all 3 incisions heal equally well in the same person. The selection of the incision should be based on the following:

  • If you wear a 2-piece bathing suit, the IMF incision will be visible when you raise your arms and the bathing suit top rises slightly. This incision is also visible when the bathing suit top does not completely cover the inframammary fold area.
  • The most visually prominent area of the breast is the nipple areola complex. The periarealor incision is visible when topless. If you form a poor scar or a hypertrophic scar, the scar would be in a highly undesirable position. Also, this approach is often associated with loss of sensation in the nipple area around the scar. This incision is also associated with a slightly higher risk of infection.
  • The transaxillary incision places the scar remotely. That is, no scar is placed on the breast. In the unlikelihood that a bad scar should form, it is in a well-hidden place. In the underarm area, everyone has a crease and the incision is well hidden in this crease. Rarely does anyone look under your arm. The infection rate is lowest using this incision.

All things considered, the transaxillary incision is the best-hidden incision with the lowest infection rate.

Note the well-healed incision that is "hidden" in the crease of the armpit and barely visible 3 months after surgery using the technique Dr. Burden and Dr. Ennis pioneered, called the No Scar on the Breast method.

If you are considering breast augmentation, aesthetic judgment, surgical skill, and experience are critical. Both Drs. Burden and Ennis of Destin Plastic Surgery have taught other breast augmentation surgeons at symposia across the country and have been recognized year over year as 2 of the top breast augmentation surgeons in the country. They currently sit on the International Physician's Advisory Board for Mentor Corporation, one of the largest breast implant manufacturers in the world. Their selection was based on experience and volume in breast enhancement surgery. This elite group will advise Mentor Corporation on their latest product development and practice management systems.

Toll Free: (866) ENHANCE 4485 Furling Lane, Destin, FL 32541
Dr. Burden

Dr. William Burden

An internationally renowned plastic surgeon who draws patients from near and far.

Dr. Ennis

Dr. L. Scott Ennis

World renowned plastic surgeon recognized by the International Society of Aesthetic Plastic Surgeons (ISAPS)

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